BOHARSKI, MICHAEL

$26.16

Total Medicaid Paid

Total Claims

Beneficiaries

Codes Billed

2018-08

First Month

2018-08

Last Month

Year	Claims	Total Paid
2018	25	$26.16

Code	Description	Claims	Beneficiaries	Total Paid
G0500	Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153, as appropriate)	25	14	$26.16

Medicaid Provider Spending